Intraoperative Retrobulbar Hemorrhage following Subtenon Anaesthesia and Valsalva Manoeuver: A Case Report

General Ophthalmology

Authors

  • O Olawoye Olusola Department of Ophthalmology, College of Medicine, University of Ibadan, Nigeria
  • O Idam Patrick Deparment of Ophthalmology, University College Hospital, Ibadan, Nigeria
  • A Ibukun Folahan Deparment of Ophthalmology, University College Hospital, Ibadan, Nigeria

Abstract

Introduction: An advantage of sub-tenon’s over retrobulbar injection is the lower risk of retrobulbar hemorrhage (RBH) associated  with the former. We present a case of RBH noticed intraoperatively during trabeculectomy surgery following subtenon anaesthesia  and Valsalva manoeuvre. 

Case Report: A 51 year old woman presented  with poor vision OS first noticed two years prior to presentation. She was not a known  hypertensive and had no prior history of bleeding disorders. Examination at presentation showed a visual acuity of 6/6-2 OD and HM  OS, RAPD OS, open angles on gonioscopy OU, CDR 0.5 OD and 1.0 OS. Based on a diagnosis of Open-angle glaucoma and suboptimal  IOP control on medications, she was scheduled bilateral trabeculectomy. Preoperatively she had O’Brien facial block and then sub- tenon’s injection just prior to commencement of right trabeculectomy.   

         Views | Downloads: 17 / 16

Author Biography

O Olawoye Olusola, Department of Ophthalmology, College of Medicine, University of Ibadan, Nigeria

Deparment of Ophthalmology, University College
Hospital, Ibadan, Nigeria

 

References

Retrobulbar hemorrhage - EyeWiki [Internet]. [cited 2017 Oct 2]. Available from: http://eyewiki.org/Retrobulbar _hemorrhage

Sullivan TJ, Wright JE. Non-traumatic orbital haemorrhage. Clin. Experiment. Ophthalmol.28(1), 2000; 26–31.

Rahman I, Ataullah S. Retrobulbar hemorrhage after sub-Tenon’s anesthesia. J. Cataract Refract. Surg. 2004; 30(12): 2636–2637.

Olitsky SE, Juneja RG. Orbital hemorrhage after the administration of sub-Tenon’s infusion anesthesia. Ophthalmic Surg. Lasers28(2), 1997; 145–146 .

Winterton J V., Patel K, Mizen KD. Review of Management Options for a Retrobulbar Hemorrhage. J Oral Maxillofac Surg [Internet]. 2007 Feb 1 [cited 2017 Oct 2];65(2):296–9. Available from: http:// www.sciencedirect.com/science/article/ pii/S027823910601192X

Craig D. Lewis; Julian D. Perry. Retrobulbar Hemorrhage [Internet]. Expert Rev Ophthalmol. 2007 [cited 2017 Oct 2]. p. 2(04):557-570. Available from: h t t p : / / w w w . m e d s c a p e . c o m / viewarticle/562682

Downloads

Published

2023-04-02

How to Cite

Olusola, O. O., Patrick, O. I., & Folahan, A. I. (2023). Intraoperative Retrobulbar Hemorrhage following Subtenon Anaesthesia and Valsalva Manoeuver: A Case Report: General Ophthalmology. Transactions of the Ophthalmological Society of Nigeria, 2(1). Retrieved from https://tosn.org.ng/index.php/home/article/view/215